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Organization

DUBOIS REGIONAL MEDICAL CENTER

Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands DuBois Summit St Bldg
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRIAN S KLINE (VP/CFO/AUTHORIZED OFFICIAL)
(814) 375-6377
Entity
Organization

Contact information

Practice address
111 SUMMIT ST, BROOKVILLE, PA 15825-1422
(814) 849-1480
(814) 849-1481
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6560
(814) 372-2848

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007740880070
PA
01
106218
GROUP MC
PA
Enumeration date
05/14/2018
Last updated
05/14/2018
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